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)40 Section A (General information) Process No. Master Permit No. License # Contractors Name: Job Addres ROOF CATEGORY �� �� ❑ Mortar/Adhesive Set Tiles [Low Slope ❑ Mechanically Fastened Tile ❑ �r Metal Panel/Shingles Wood Shingles/Shakes ❑ Asphaltic Shingles ❑ Prescriptive BUR-RAS 150 ROOF ROOF TYPE_ ❑ Reroofing ❑ Recovering ❑ New roof ❑ Repair ❑ Maintenance . ROOF SYSTEM INFORMATION U Total (SF) i-a_2 Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 'ca C-10--Dke Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Section C (Low Slope Roof) Fill in specific roof assembly components and identify manufacturer (if a component is not used, i entify as "NA" System Manufacturer: 061U010Z Product Approval No.:-. Design Wind Pressures, From RAS 128 Or Calculations: Zone 1': J! Zone 1: _�3_7 Zone 2�j q Zone 3: Max. Design Pressure, from the specific product approval system: Deck: it �®� Type: V Gauge Thickness: Slope: 2 I2 Anchor/Base Sheet & No. df Ply(s): Anchor/Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insultation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): �i� V Base Sket Fa e^dritondterial: Ply Sheet(s)' & No. of Ply(s): i ` P Ply Sheet Fastener/Bonding Materia Top Ply: Top Ply Fastener/Bonding Material Surfacing: Fastener Spacing for Anchor/Base Sheet Attachment: Zone 1':_.._." oc @ Lap, # Rows @ moo Zone 1:—" oc @ Lap, # Rows @ ° oo Zone 2:—" oc @ Lap, # Rows C moo Zone 3:—" oc @ Lap, # Rows @ " oo Number of Fasteners Per Insulation Board: Zone 1': Zone 1: Zone 2: Zone 3: Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, Coping, Etc., Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material' Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16.. Section D (Steep Slope Roof System) C- 10L)o Roof system Manufacturer: Notice of Acceptance Number: .� ii I e (Prom 127 or CiMone ns): (� j Minimum Design Wind Pr s res, If Ap --1 Zone 3r: I ddd one 2A Zone 2n:�Zone 3e: Zone 1:� Deck TYpe: ` Type Underlayment Ix PROOMK 12 insulation: Fire Barrier: Ridge ventilation? Fastener Type &.Spacing: Adhesive Type: Type Cap Sheet �~ =MeanRooFHejgh1t: Roof Covering: Type &Size ©rip Edge: 1 —8 A (n -n m C C,3 0') CD 'a -pt CD " X CD CD - -n =r 0 CD 14 9l- 4 11